Tuesday, March 15, 2011

Gluten-free to Grain-free?

So a couple posts ago, I mentioned I have decided to go grain-free and therefore will not be going out to "gluten-free restaurants" any more to do reviews. My decision to change my diet further largely came from getting very sick this summer and not being able to get better with all the medications doctors were throwing at me. Possible diagnosis ranged from pneumonia to GERD to asthma to vocal chord dysfunction. All I know is I was very sick, and it took me months to recover. Thank you, thank you to my naturopaths who helped me get back on my feet by helping me with acupuncture, diet change, and the reassurance that my own body could heal itself.

During my illness, I really started to question what I was eating. First I started to really look into restaurants I had been dining at and found that even ones I had said were great gluten-free places on my blog really weren't if you looked at the fine print. In most cases, the restaurant's idea of gluten-free was definitely not mine. So I decided to go restaurant-free to be gluten-free.

Next, I went back to the center of research-books and the internet, and I found www.glutenfreesociety.org and Dr. Osborne which really made me question what I had previously learned about celiac disease and gluten sensitivity. I found out that all grains have gluten and that in several research studies people with celiac disease react to several grains, not just those listed by the Celiac Sprue Association and Celiac Disease Foundation, who are supposed to be the most up-to-date. I had no idea. All I had heard previously was that a very small number reacted adversely to oats. Gluten is a protein found in all grains, not just wheat, barley, rye, and the few others those with celiac are supposed to avoid. Yet, reactions to wheat gluten are pretty much the only ones tested. Right now you probably have lots of questions; I know I did. And the best answers can be found in the following podcast link by Dr. Osborne: Gluten Sensitivity: What is It?

Shortly after finding the above podcast, I had a patient with Chron's disease, which is chronic inflammation of the digestive track, and another gut disease with some similarities to celiac disease. We got on the topic of what dietary changes we had made because of our diseases, and I was excited to find that he too was looking into a grain-free diet as Dr. Osborne suggests, though more specifically his inspiration for dietary changes had come from a book called Breaking the Vicious Cycle by Elaine Gottschall. This book discussed the Specific Carbohydrate Diet which was one of the earliest and most successful diets in treating celiac disease. So why hadn't I heard of it before? The book does a great job of answering these questions and more, and I highly suggest you buy it or at least look at the website which I have linked above to do more research yourself. It does a much better job of providing information than I could on this blog.

So after looking at these two suggestions, my final conclusion, after playing around with both diets and doing my own research on healthy foods, was to combine my information into the following diet:
1) No more eating out.
2) No more grains.
3) Limit sugar-primarily only honey and maple syrup if I had any.
4) No processed foods-ingredients had to be identifiable-so if it said walnut, I better see a walnut in it.
5) Make pretty much everything from scratch.
6) All organic food.
7) As local a possible.
8) Grass-fed meat, dairy, egg, and poultry products as much as possible.
9) Raw dairy products as much as possible.

Now, I am not going to lie. I cheated at times. Peer pressure is the worst when you want to go out with friends and eat and do everything they do too, but I would say 90% of the time I stuck to it. The results have been great. I have lost weight, feel more energetic, am no longer sick and best of all my lab results are better. So heres the details.

My IGG antibody level, which along with IGA antibody is used to determine if a patient has celiac disease through a blood test, even after being on the gluten-free diet strictly for two years and trials of not eating out at restaurants previously has never been lower than 33. I would test my antibodies from time to time after my diagnosis to see if diet had brought down my levels. My IGG level dropped from the 70's initially, but never got any lower than 33. My IGA level has always been normal, which is why I could not have a confirmed diagnosis of celiac disease by blood test and had to later have a biopsy. My doctor suggested in 2005 that if the IGG level was still in the 30's after a couple years on the diet, it probably would not improve, and I most likely had some permanent damage from the disease that kept it still high. So I stopped testing at that point, deciding it was not worth the cost to track my progress. Out of curiosity, I decided to retest these antibodies again after being on my new nine rules diet for several months and to my amazement, my IGG level was at a 2, the lowest it has been since diagnosis and within normal range which is 0-19. This was exciting news.

Also, my Ferritin, Vitamin B12, and Vitamin D (commonly low in patients with celiac disease and for which I have needed supplements) were all greatly improved which told me my digestion of the supplements I was taking was improving.
Ferritin previously at 26 was now 73 (normal 10-291)
Vitamin B12 previously at 320 was now 451 (normal 211-911)
Vitamin D previously at 33.1 was now 39.2  (normal 4.8-52.8)

To me this is confirmation that Dr. Osborne and Elaine Gottschall were on the right track although years apart. So here I am on a grain-free diet hoping to share the wonderful information these two have given me with you. I would say my blog will probably be taking on a different look as I begin my new journey, and I hope people will find it helpful enough to continue reading. I have found all the sources on the internet so helpful for the improvement of my health and hope this will just add to the resources out there.

4 comments:

  1. Thank you so much for this information. I have been searching for answers to my own health challenges and this blog was a great help.

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  2. I have just recently done the same. I self-diagnosed myself with a gluten intolerance this last fall. Although taking gluten out of my diet made me dramatically feel better I was still noticing reactions to other foods like beans and corn. I have now started the Paelo diet and feel even better!! I really think people are really not meant to eat grain! A good point to that is cows eat grass (wheat is a grass) cows have 4 stomachs to digest it. Humans only have 1.

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  3. So glad this has been helpful. My boyfriend just was reading the book on the Paleo diet, and I have been meaning to read it as well. It is so similar to the Specific Carbohydrate Diet. Although, my boyfriend does not appear to have any intolerances to gluten or have celiac disease, he too reports feeling much better since following my new diet with me. I get so frustrated when people who have classic symptoms of gluten sensitivity or celiac disease go get tested and their doctors tell them they don't have it because the test says they don't; people of course want to hear this because they don't want to have to narrow their diet, but I think most often the tests are wrong. And unfortunately because of inaccurate testing and uneducated doctors, patients are still searching for answers in other diagnosis and completely take celiac disease or gluten intolerance out of the realm of possibility causing them to lead a life of illness without any true answers. I suggest that anyone who has multi-systemic illness both mental and physical without clear answers should try a grain-free diet and then gradually reintroduce grains one by one to see how they respond to them. If they notice a significant difference, I feel that should be conclusive. I often times will not have a reaction to grains immediately, but if I consume gluten on multiple occasions in small amounts, then I really can tell... it's almost more of a build-up of damage then an initial all-out attack. It is hard to stick to such a strict diet however without an official diagnosis because some people treat you like you are just picky and crazy which makes you second guess yourself; I definitely had this experience, and I will admit it was a relief to have an official diagnosis with the biopsy. But still diet is, at this point, the most conclusive way to see if you have issues, and not just the gluten-free diet that is advertised, but a true gluten-free diet which is really grain-free.

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  4. I just wanted to say thank you so much! Your blog has been really helpful.

    I'm also in pdx and would love to know more about your GF experiences here. Particularly, you mention that many restaurants you previously recommended do not have GF practices you feel safe with now. That's my concern as well, and leaves me very paranoid to eat out. Would you mind sharing if there are any places you do still feel safe to eat out? My husband sometimes has to go to work lunches and it seems stupid for this "disability" to have to risk his job, but there's often a lot of drama and politics over it!

    Neither of us have gotten the blood tests due to the high false negative rates, but we both have severe reactions to eating gluten, and both have many auto-immune conditions which of course can lead to hidden damage, so we take cross contamination very seriously.

    Right now we feel safe eating at Corbett Fish House, New Cascadia Traditional Bakery and Yogio and The Doghouse food carts. The owners of those food carts have allergies themselves, and Yogio is 100% dedicated gluten free. They're really great with allergies and completely honest and understand cross contamination (this weekend they helped a friend of mine with an onion/chives/shallots/leeks allergy)

    Do you think Corbett Fish House is still safe enough? What about New Seasons or Whole Foods in their deli area? We found the sushi chefs at the Bridgeport Whole foods to be very helpful despite the language barrier.

    Also do you have any local doctors you might recommend? I have a doctor and a nurse practitioner I adore but I could use more specialists who are understanding, ideally an immunologist!

    Thanks again so much, and I hope you keep writing new entries and keeping us updated!

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